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dc.contributor.authorKacar, Sabite
dc.contributor.authorUysal, Selma
dc.contributor.authorKuran, Sedef
dc.contributor.authorDagli, Ulku
dc.contributor.authorOzin, Yasemin
dc.contributor.authorKarabulut, Erdem
dc.contributor.authorSasmaz, Nurgul
dc.date.accessioned2019-12-12T06:26:36Z
dc.date.available2019-12-12T06:26:36Z
dc.date.issued2007
dc.identifier.issn1007-9327
dc.identifier.urihttps://doi.org/10.3748/wjg.v13.i39.5245
dc.identifier.urihttp://hdl.handle.net/11655/16395
dc.description.abstractAIM: To determine the gastroesophageal refluxate in the cervical esophagus (CE) and measure transcutaneous cervical esophageal ultrasound (TCEUS) findings [anterior wall thickness (WT) of CE, esophageal luminal diameter (ELD), esophageal diameter (ED)]; to compare TCEUS findings in the patient subgroups divided according to 24-h esophageal pH monitoring and manometry; and to investigate possible cut-off values according to the TCEUS findings as a predictor of gastroesophageal reflux (GER). METHODS: In 45/500 patients, refluxate was visualized in TCEUS. 38/45 patients underwent esophagogastroduo denoscopy (EGD), 24-h pH monitoring and manometry. RESULTS: The 38 patients were grouped according to 24-h pH monitoring as follows: Group A: GER-positive (n 20) [Includes Group B: isolated proximal reflux (PR) (n = 6), Group C: isolated distal reflux (DR) (n = 6), and Group D: both PR/DR (n = 8)]; Group E: no reflux (n = 13); and Group F: hypersensitive esophagus (HSE) (n = 5). Groups B + D indicated total PR patients (n = 14), Groups E + F reflux-negatives with HSE (n = 18), and Groups A + F reflux-positives with HSE (n = 25). When the 38 patients were grouped according to manometry findings, 24 had normal esophageal manometry; 7 had hypotensive and 2 had hypertensive lower esophageal sphincter (LES); and 5 had ineffective esophageal motility disorder (IEM). The ELD measurement was greater in group A + F than group E (P = 0.023, 5.0 +/- 1.3 vs 3.9 +/- 1.4 mm). In 27/38 patients, there was at least one pathologic acid reflux and/or pathologic manometry finding. The cut-off value for ELD of 4.83 mm had 79% sensitivity and 61% specificity in predicting the PR between Groups B + D and E (AUC = 0.775, P = 0.015). CONCLUSION: Visualizing refluxate in TCEUS was useful as a pre-diagnostic tool for estimating GER or manometric pathology in 71.1% of adults in our study, but it was not diagnostic for CE WT. (C) 2007 WJG. All rights reserved.
dc.language.isoen
dc.publisherW J G Press
dc.relation.isversionof10.3748/wjg.v13.i39.5245
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGastroenterology & Hepatology
dc.titleTranscutaneous Cervical Esophagus Ultrasound In Adults: Relation With Ambulatory 24-H Ph-Monitoring And Esophageal Manometry
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalWorld Journal Of Gastroenterology
dc.contributor.departmentBiyoistatistik
dc.identifier.volume13
dc.identifier.issue39
dc.identifier.startpage5245
dc.identifier.endpage5252
dc.description.indexWoS


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